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Indian Journal of Pediatrics
Published in: Indian Journal of Pediatrics 2/2024

07-11-2023 | Editorial Commentary

The “Perfect” Formula for pH/Impedance Probe Positioning: An Impossible Quest!

Author: Rishi Bolia

Published in: Indian Journal of Pediatrics | Issue 2/2024

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Excerpt

The most crucial aspect of 24-h esophageal pH monitoring is correct positioning of the pH probe [1]. A more distal location carries the risk of overestimating reflux and also of displacement into the stomach. On the other hand, a location too proximal to the lower oesophageal sphincter (LOS) may underestimate reflux. …
Literature
1.
Anggiansah A, Sumboonnanonda K, Wang J, et al. Significantly reduced acid detection at 10 centimeters compared to 5 centimeters above lower esophageal sphincter in patients with acid reflux. Am J Gastroenterol. 1993;88:842–6.PubMed
2.
3.
Arcos-Machancoses JV, García Tirado D, Vila Miravet V, et al. What is the best method for calculating the optimal position of an esophageal pH probe in children? Dis Esophagus. 2019;32:doz014.CrossRefPubMed
4.
Trudgill NJ, Sifrim D, Sweis R, et al. British Society of Gastroenterology guidelines for oesophageal manometry and oesophageal reflux monitoring. Gut. 2019;68:1731–50.CrossRefPubMed
5.
Moreau B, Kambites S, Lévesque D. Esophageal length: esophageal manometry remains superior to mathematical equations. J Pediatr Gastroenterol Nutr. 2013;57:236–9.CrossRefPubMed
6.
Klingler PJ, Hinder RA, Wetscher GJ, et al. Accurate placement of the esophageal pH electrode for 24-hour pH monitoring using a combined pH/manometry probe. Am J Gastroenterol. 2000;95:906–9.CrossRefPubMed
7.
Monés J, Clavé P, Mearin F. Esophageal pH monitoring: are you sure that the electrode is properly placed? Am J Gastroenterol. 2001;96:975–8.PubMed
Metadata
Title
The “Perfect” Formula for pH/Impedance Probe Positioning: An Impossible Quest!
Author
Rishi Bolia
Publication date
07-11-2023
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 2/2024
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-023-04924-y

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